Sambasiva R Sukhavasi MD PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SAMBASIVA R SUKHAVASI MD PA

Practice address

2300 Highway 365
Ste. 210
Nederland, TX 77627-6256

Phone

(409) 721-5155

Fax

(409) 722-6530

NPI assigned

Nov 30, 2015

Last updated

Mar 2, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sambasiva Sukhavasi, M.D.NPI 1508862954

Title

M.D.

Phone

(409) 721-5155

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sambasiva Rao Sukhavasi, M.D.

  • Pulmonary Disease Physician
  • Nederland, TX
  • NPI 1508862954
  Medicare reassignment NPD Authorized official
• Lawrence Leroy Palmer, PA

  • Medical Physician Assistant
  • Houston, TX
  • NPI 1235375437
  NPD (past)
• Jocelyn Marie Pyles, M.D.

  • General Practice Physician
  • Houston, TX
  • NPI 1427271485
  NPD (past)
• Uma Sukhavasi, M.D.

  • Family Medicine Physician
  • Port Arthur, TX
  • NPI 1013913466
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1770957847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "STE. 210",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-721-5155",
            "fax_number": "409-722-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "STE. 210",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-721-5155",
            "fax_number": "409-722-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMBASIVA R SUKHAVASI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SUKHAVASI",
        "authorized_official_first_name": "SAMBASIVA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "409-721-5155",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099173901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "466900",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Ann Robinson, FNP-C
• Steven Ian Rockman, M.D.
• Ronald K McCraw, PHD, DO, PA
• Ronny Edward Root, D.D.S.
• Timothy Jaryd Royer, DMD
• David L Sawisky Sr., M.D.
• Richard Alan Schleiffer Sr., DPM
• Setx Sleep Management LLC
• Roozbeh Sharif, M.D., M.ED., M.SC.
• Shobassy G.I.,P.a.

• Pulmonary Disease Physician in Nederland, TX
• Providers in Nederland, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.